Organization
PROJECT RENEWAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN RUBIN (CEO)
(954) 376-9631
Entity
Organization
Contact information
Practice address
7764 NW 44TH ST, LAUDERHILL, FL 33351-6204
(954) 376-9631
Mailing address
7764 NW 44TH ST, LAUDERHILL, FL 33351-6204
(954) 376-9631
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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